XN-10 AP795756

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2020-02-24 for XN-10 AP795756 manufactured by Sysmex Corporation, I Square.

Event Text Entries

[188807736] The sysmex xn-9000/xn-9100 instructions for use (ifu), chapter 15 - technical information, section 15. 2 - system limitations and interfering substances, informs of situations where results may be affected. For plts, the ifu notes: "if any of the following are present, the system may erroneously report a low platelet count: possibility of plt clumps, pseudothrombocytopenia (caused by edta typically), giant platelets. " large plts were observed during slide review. The ifu further cautions to use good laboratory practices for inspecting specimens for acceptability and verifying results. No product deficiency identified.
Patient Sequence No: 1, Text Type: N, H10


[188807737] A sample from an obstetrics patient was analyzed and generated a low platelet (plt) result. The plt result was questioned by the physician and a redraw was ordered. Samples were redrawn in both edta anticoagulant and sodium citrate anticoagulant. Both samples were analyzed and generated low plt results. The physician continued to question the plt result. Slide reviews were performed on both samples, and the plt estimates were determined to be within normal range. Several large platelets were present upon slide review and were reported. The physician requested the plt result be evaluated by a pathologist. The pathologist determined the plt count was normal with larger than normal plts. Initially, the user reported the patient experienced a delay in the administration of an epidural based on the low plt result. During follow up conversations, the user was unable to confirm if treatment was delayed or withheld. The delivery proceeded with no complications.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1000515253-2020-00007
MDR Report Key9744620
Report SourceHEALTH PROFESSIONAL
Date Received2020-02-24
Date of Report2020-03-12
Date of Event2020-02-11
Date Mfgr Received2020-02-24
Device Manufacturer Date2018-07-01
Date Added to Maude2020-02-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMRS. NANCY GOULD
Manufacturer Street577 APTAKISIC RD
Manufacturer CityLINCOLNSHIRE, IL
Manufacturer CountryUS
Manufacturer Phone5439678
Manufacturer G1SYSMEX CORPORATION, I SQUARE
Manufacturer Street262-11 MIZUASHI NOGUCHI-CHO
Manufacturer CityKAKOGAWA-CITY, HYOGO 675-0019
Manufacturer CountryJA
Manufacturer Postal Code675-0019
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameXN-10
Generic NameAUTOMATED HEMATOLOGY ANALYZER
Product CodeGKZ
Date Received2020-02-24
Model NumberXN-10
Catalog NumberAP795756
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSYSMEX CORPORATION, I SQUARE
Manufacturer Address262-11 MIZUASHI NOGUCHI-CHO KAKOGAWA-CITY, HYOGO 675-0019 JA 675-0019


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-24

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.